A medical certificate is a written statement from your physician that must be dated within 10 days of the flight. Please contact Reservations at least 48 hours before your flight to tell us you have a medical certificate.

A medical certificate is required for travel if:

You have a medical condition that could reasonably be expected to require significant in-flight medical assistance

You have a communicable disease or condition that could pose a direct threat to the health or safety of others on the flight

Medical Devices

To ensure the comfort of all its passengers, American Airlines accepts a variety of assistive devices for travel in the cabin, such as walkers, crutches, canes, braces as well as some types of ventilators and respirators. Please contact Reservations prior to your flight to provide a description of your device and get approval for transportation

All approved assistive devices within the allowed size for carry-on baggage will be carried on free of charge

Although it is safe to use battery-operated devices during the flight, most will need to be switched off upon take-off and landing. Please check with Reservations if you are relying on an assistive device that must be switched on at all times

Please note that seat power ports cannot be used for assistive devices

We want to hear from you. If you have any complaints or queries, please contact Customer Relations for assistance.

American Airlines makes every effort to accommodate its customers who require supplemental oxygen inflight. Effective July 23, 2012, American will continue to assist customers who wish to bring a Portable Oxygen Concentrator on board, however, due to decreased demand and increased supplier costs, American will no longer accept inflight medical oxygen.
Thank you for your loyalty to American Airlines. Should you have questions regarding this change, please call Reservations.

Personal Inflight Medical Oxygen Units

Personal gaseous or liquid oxygen units are not accepted. The Federal Aviation Administration (FAA) requires that oxygen on airplanes be dispensed from approved containers available through the airline only, so you may not use your own personal units. American does not provide medical oxygen inflight. If you require oxygen at the airport before departure, during your connection or at your destination, you will need to make separate arrangements.

Medical Oxygen

Portable oxygen concentrators (POCs) approved by the FAA will only be accepted for inflight medical oxygen. A 48-hour notice is required.

Portable Oxygen Concentrators (POCs)

Customers requiring the use of a POC in the cabin must provide a minimum of 48-hours advance notification to Reservations. Your request will be forwarded to our Special Assistance Coordinator who will contact you to verify the device and advise of medical paperwork requirements. Please see “Travel Requirements and Restrictions and Onboard Usage” below for more details.

The following are FAA approved POCs for use in the aircraft cabin:

AirSep LifeStyle - RTCA sticker required

AirSep FreeStyle

Airsep FreeStyle 5

AirSep FOCUS

(Caire) SeQual eQuinox - model 4000**

Devilbiss iGO

Inogen One

Inogen G2

Inogen One G3

Inova Labs - Lifechoice (model number XYC100)

Invo Labs Lifechoice Activeox

Invacare XPO2 (includes model numbers XPO100 and XPO100B)

Invacare SOLO2

Oxlife Independence

Oxus, Inc. RS-00400 POC

Precision Medical EasyPluse

Respironics Inc's EverGO

Respironics SimplyGo

SeQual Eclipse models 1, 2 and 3*

SeQual Eclipse 3 - 1000B

SeQual SAROS

Vbox Trooper

*Note: SeQual Eclipse (models 1000, 1000A, and 1000B), and SeQual Eclipse SAROS may not be used on Republic Airlines. These models are too large to fit under the seat for use on board the aircraft. These models may be transported in the cabin as assistive devices and stowed in the overhead compartments, but these models cannot be used on board the aircraft.

**Approved for use on American mainline aircraft. However, only approved on a case-by-case basis on Envoy aircraft.

POCs fit under the double seat side on American Eagle aircraft. Please contact Reservations for assistance with seat selection.

Note: FAA Regulations forbid the carriage of other personal oxygen units including those that contain compressed or liquid oxygen, because they are classified as Hazardous Materials.

Travel Requirements and Restrictions

To travel using a POC, you must have a signed, written statement from your physician clarifying your needs as listed in our recommended letter Physician's Consent Form. . A completed form is valid for one year from date of issuance.

Upon completion of the letter, please notify Reservations at least 48 hours prior to your travel date to ensure all proper medical paperwork is prepared for travel.

Prior to boarding, the customer must present the Physician's Consent Form to an airline representative to ensure:

the customer is able to operate the POC and recognize and respond appropriately to its alarm

understanding the phases of the flight ( taxi, take-off, landing) in which the POC will be operable

the customer has an ample supply of fully charged batteries to power the POC no less than 150% for the duration of the flight and ground connection time where POC is planned to be used (per manufacturer's recommendation) for unanticipated delays

Please keep the Physician's Consent Form on your person at all times during your journey.

Onboard Usage

Customers are required to provide and know how to use rented or owned "approved" POC. American Airlines does not provide this equipment. Note: American Airlines does not have spare batteries available for customer usage.

Customers must ensure that all extra batteries are properly protected from short circuiting by packaging the batteries so they do not contact metal objects including the terminals or other batteries.

Your POC must be free of oil, grease or other petroleum products and in good condition, free from damage or other signs of excessive wear or abuse.
If you are connecting to another airline or codeshare flight, contact the operating carrier or other airline for their rules on travelling with portable oxygen concentrators.
Please inform the airport agent that you intend to use a POC onboard the aircraft. The agent may ask to verify your medical statement, so please keep it with you at all times.

During Flight

Your POC must fit underneath the seat in front of you. You may not sit in an emergency exit seat, a bulkhead seat or any seat that blocks another passenger's access to the aisle.
You may use your POC while moving about the cabin as long as the "Fasten Seat Belt" sign is not illuminated.

Aircraft Powerpoints

Some American Airlines aircraft are equipped with DC powerports, however, due to different aircraft types, configurations, and seating arrangements, the availability of a powerport and continuous power flow cannot be guaranteed. Therefore, you must bring a supply of batteries adequate for powering your POC the entire time it is in use. In the event a powerport is available at your seat, it may only be used during flight and may not be used during taxi, take-off, and landing. Use of a powerport requires a DC power accessory obtained from your POC manufacturer.

Other Electrical Medical Devices

If you need to request oxygen (i.e., respirator, ventilator, continuous positive airway pressure (CPAP), etc.) in the cabin, contact Reservations at least 48 hours before departure for your international flight or 48 hours for your U.S. domestic flight. Upon completion of your reservation, your request will be forwarded to our Special Assistance Coordinator who will contact you to verify your device. For those medical devices that are not listed on our approved list, additional notice may be required for evaluation of the device to ensure it is safe to operate during flight in accordance with FAA regulations.

We want to hear from you. If you have any complaints or queries, please contact Customer Relations for assistance.

Whether you need wheelchair assistance at the airport or wish to bring your own manual or battery-operated wheelchair with you, our dedicated staff will do the utmost to make your journey as comfortable as possible. To ensure that all necessary arrangements are made for you, please contact Reservations at least 48 hours prior to departure for your international flight or 24 hours for your U.S. domestic flight.

Passengers Requesting Airport Wheelchair Assistance

Wheelchair assistance can be requested at the airport. It can only be provided at check-in through security and up to the boarding gate

Wheelchair users will receive priority boarding. Just ask an American Airlines agent at the gate

Wheelchair assistance will also be provided for connections between American Airlines flights or from an American Airlines flight to another airline. Please ask at check-in for assistance to be arranged at your connection

Please note that we do not provide electric carts. Airport buggies are available in some airports for transportation to the gate. Please ask at check-in for availability

Please note that our staff cannot stay with the passenger at all times or guarantee supervision at all points of the journey

Passengers Travelling With Their Own Wheelchair

American Airlines welcomes customers that wish to travel with their own manual or battery-operated wheelchair. Both types of wheelchairs can be checked in as baggage in the main terminal at no additional cost

Manual wheelchair users also have the option to check their wheelchair at the departure gate. Your wheelchair will then wait for you at the aircraft door on arrival. When storage space is available, folding wheelchairs can be stowed in the cabin on some type of aircraft. Contact Reservations for more information

Maximum wheelchair dimensions are dictated by the size of the cargo door measurements. The following is a list of aircrafts and their respective cargo door measurements:

Aircraft type

Dimensions

Airbus 321

Height: 35" X Width: 37"

Airbus 319/Boeing 737

Height: 33" X Width: 48"

Boeing 757

Height: 43" X Width: 55"

Boeing 767/777

Height: 66" X Width: 70"

Boeing 787

Height: 66" X Width: 105"

MD80

Height: 32" X Width: 53"

CRJ - 200/700

Height: 33" X Width: 41"

CRJ - 900

Height: 33" X Width: 43"

ERJ - 140

Height: 39" X Width: 44"

ERJ - 145

Height: 44" X Width: 39"

ERJ - 175

Height: 34" X Width: 39"

Non spillable batteries are accepted as well as Lithium-ion batteries. Maximum Lithium-ion battery power is 300 watt hours (voltage X Amp hours) and the EOC (Equilivant Lithium Content) must be 25 grams or less

When transporting Lithium-ion battery-powered mobility aids, the battery must be removed and wrapped in a plastic bag and taped shut. The battery must be stowed in the overhead bin above the customer’s seat or under the seat in front of the customer

If you check your wheelchair in the main terminal, our staff will provide a wheelchair to escort you from check-in through security and to the gate

Wheelchair users will receive priority boarding. Just ask an American Airlines agent at the gate

Wheelchair assistance will also be provided for connections between American Airlines flights or from an American Airlines flight to another airline. Please ask at check-in for assistance to be arranged at your connection

If you need to be carried or lifted to your seat or need assistance to deplane the aircraft on arrival, please contact Reservations that will arrange assistance for you at least 48 hours prior to departure for your international flight or 24 hours for your U.S. domestic flight

Please note that our staff cannot stay with the passenger at all times or guarantee supervision at all points of the journey

In-Flight Wheelchairs And Facilities

In-flight wheelchairs are available on all American Airlines jet aircraft, including all transatlantic flights from Europe and India. Our flight attendants will be happy to assist you if you need to use an in-flight wheelchair to go to the toilets during your flight

Our transatlantic flights are equipped with handicap toilets*. Please note that our flight attendants can only assist to push the in-flight wheelchair to and from the lavatory door. Passengers must be able to lift themselves in and out of the wheelchair and use the toilets on their own, or travel with a personal care attendant to provide assistance. Tickets for personal care attendants must be purchased at the applicable fare.

*Excludes flights from Manchester operated on the Boeing 757

Compensation For Mobility Equipment

In adherence to the Montreal Convention, wheelchairs and other mobility devices are exempt from liability restrictions for loss, damage or delays to these items for both domestic and international travel

In the unlikely event your mobility device is damaged, it must be reported to the American Airlines Baggage Desk before leaving the airport, or at the latest within 7 days of your arrival for international flights, or within 24 hours for U.S. domestic flights. Contact your local American Airlines Baggage Desk.

We want to hear from you. If you have any complaints or queries, please contact Customer Relations for assistance.

Visually or hearing impaired customers can be escorted from check-in through security to the gate or an American Airlines Transfer desk where they may wait on their own. Wheelchair assistance can also be requested. Please contact Reservations to arrange assistance at the airport

Guide and assistance animals are welcome to travel in the cabin on most international and U.S. domestic flights – learn more

Please note that our staff cannot stay with the passenger at all times or guarantee supervision at all points of the journey

Visually AND Hearing Impaired Passengers

Passengers that are both visually and hearing impaired can travel unaccompanied on any flight providing they can read Braille or communicate with the flight crew. Please contact Reservations to arrange assistance at the airport

Passengers unable to read Braille or to communicate with crew members will need to be accompanied with a guardian travelling on their own ticket, which must be purchased at the applicable fare.

American Airlines will provide escort from the check-in area through security and to the gate. Wheelchair assistance can also be requested

Guide and assistance animals are welcome to travel in the cabin on most international and U.S. domestic flights – learn more

Passengers will be escorted airside through security to the gate or an American Airlines Transfer desk where they may wait on their own. Please note that our staff cannot stay with the passenger at all times or guarantee supervision at all points of the journey

We want to hear from you. If you have any complaints or queries, please contact Customer Relations for assistance.

American Airlines welcomes guide and assistance animals in the cabin on most international and U.S. domestic flights. All trained guide and assistance animals travelling with a passenger with a disability can travel free of charge. You must contact Reservations at least 48 hours prior to departure for your international flight or 48 hours for your U.S. domestic flight

An identification card or any other written documentation to confirm that the animal is a guide and assistance animal must be presented at check-in. Alternatively, the presence of harnesses or markings on harnesses, tags or the credible verbal assurances of the owner will be considered as sufficient proof that the animal is a guide and assistance animal

All guide and assistance animals must be clean, well behaved, remain with the owner at all times, and cannot exhibit disruptive behaviour or pose a threat to the other passengers or other animals

Guide and assistance animals are accepted on connecting flights. If you are connecting between an American Airlines flight and another airline, you must contact the other airline to check their policies regarding the transportation of guide and assistance animals. Escort can be provided from the arrival gate to the other airline transfer desk or gate at the connecting point

Guide And Assistance Animals For Emotional Support

American Airlines also accepts animals assisting passengers with a mental or emotional disability for travel in the cabin at no additional cost

If you need to travel with an animal for emotional support, you will be required to forward a letter from a licensed mental health professional to our Special Assistance Team. Please contact Reservations for more information. A copy of the letter will need to be presented at check-in

Please note that therapy animals, used to provide comfort to patients in hospitals, nursing homes or other facilities are not considered guide and assistance animals. The regular pet policy and charges apply

IMPORTANT INFORMATION FOR INTERNATIONAL FLIGHTS
Please note that the transportation of guide and assistance animals from / to and through some countries is subject to the additional regulations listed below:

United Kingdom

Guide and assistance animals are allowed in the cabin on American Airlines flights from and to the U.K., providing the guidelines outlined below are followed

You will also need to contact the Animal Reception Centre of your arrival U.K. airport (London Heathrow or Manchester) at least one week prior to departure to obtain a
pre-approval letter

Copies of your animal’s health documentation and of the pre-approval letter must be presented at check-in

Travel From / To And Through The European Union*

All guide and assistance animals travelling from / to and through the European Union must have a number tattooed or chip implanted by a veterinarian that matches the number on the animal's vaccination card

Animals without a tattoo or chip will not be allowed to enter the European Union and will be sent back to the United States or could be quarantined or possibly destroyed

Travel from / to Ireland: guide and assistance animals are allowed in the cabin on American Airlines flights from and to Ireland. Approval from the Irish Department Of Agriculture must be obtained

Passengers with intellectual or developmental disabilities that are able to complete all phases of their flight alone are welcome to travel unaccompanied on American Airlines flights. The passenger or relatives must contact Reservations to provide information about their condition and ensure that they will be able to request assistance at every stage of
their journey

If needed, wheelchair assistance can be requested. Passengers will be escorted airside through security to the gate or an American Airlines Transfer desk where they may wait on their own. Please note that our staff cannot stay with the passenger at all times or guarantee supervision at all points of
the journey

Our gate personnel will also be on call to provide assistance with boarding and deplaning the aircraft and to connect between flights. Please ask an agent at check-in

For international flights, it is not possible for parents or guardians to accompany the passenger to the gate or meet them at the gate on arrival

This is allowed for U.S. domestic flights. At some airports, a boarding pass must be requested at check-in to gain entry into the gate area

We want to hear from you. If you have any complaints or queries, please contact Customer Relations for assistance.

American Airlines does not provide specialised seating devices or harnesses for use by a disabled passenger. Passengers may travel with their own Orthotic Positioning Device (OPD) which helps support and position a person with upper body weakness

OPD requirements:

Cannot be used as a child restraint/car seat

Seatbelt must be used as the primary means of restraint by securing the aircraft seatbelt around the passenger

May be used in any seat except an exit seat

Cannot block any passenger's ability to exit the row

OPD device cannot be attached to the seatback

For passengers with a disability who use an aisle chair to access their seat and cannot readily transfer over a fixed armrest, there are many seats with moveable aisle armrests. If you are travelling with a service animal or you have a fixed or immobilised leg, please advise us so we may assign you a bulkhead seat if you prefer one

We recommend that you indicate your seating preference when you make your reservation

A variety of special meals can be requested for customers with specific dietary requirements or medical conditions such as diabetes. These need to be pre-ordered at least 24 hours prior to your flight. Please contact Reservations

You can bring your own food onboard for U.S. domestic flights. For international flights, most food will be confiscated at security after check-in and cannot be brought onboard – contact Reservations for more information

Please note that food cannot be heated or chilled onboard the aircraft

Peanut And Other Nut Allergy

American recognises that some passengers are allergic to peanuts and other tree nuts. Although we do not serve peanuts, we do serve other nut products (such as warmed nuts) and there may be trace elements of unspecified nut ingredients, including peanut oils, in meals and snacks.

Requests that we not serve any particular foods, including tree nuts, on our flights cannot be granted. We are not able to provide nut “buffer zones,” nor are we able to allow passengers to pre-board to wipe down seats and tray tables.

Our planes are cleaned regularly, but these cleanings are not designed to ensure the removal of nut allergens, nor are our air filtration systems designed to remove nut allergens.

Additionally, other customers may bring peanuts or other tree nuts on board. Therefore, we cannot guarantee customers will not be exposed to peanuts or other tree nuts during flight, and we strongly encourage customers to take all necessary medical precautions to prepare for the possibility of exposure.

We want to hear from you. If you have any complaints or queries, please contact Customer Relations for assistance.

American Airlines and American Eagle will not require qualified disabled individuals to travel with attendants as a condition of acceptance for transportation, except for the few conditions noted below. American Airlines and American Eagle will not require an attendant solely because of inaccessible aircraft lavatories or perceived needs for extensive special assistance for personal needs.

Exceptions Calling For Attendants:

A person who, because of a mental disability, is unable to comprehend or respond appropriately to safety instructions

A person with a mobility impairment so severe that the person is unable to assist in their own evacuation of the aircraft

A person who has both severe hearing and severe vision impairments, and who is unable to establish some means of communication with the flight crew to receive a safety briefing

We want to hear from you. If you have any complaints or queries, please contact Customer Relations for assistance.

Customer Service

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